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Bleeding gastric varices--a rare complication of ovarian cancer.
Int J Clin Pract. 2005 Jan; 59(1):119-20.IJ

Abstract

Splenic venous hypertension (or 'left-sided portal hypertension') is a rare underlying cause of gastro-oesophageal varices. Ovarian carcinoma recurring beyond 10 years, following primary treatment with no interval disease, is also a rare occurrence. We report an unusual case of bleeding gastric varices secondary to splenic venous obstruction as a result of metastatic ovarian carcinoma. This occurred 21 years following surgery and adjuvant chemotherapy for primary ovarian carcinoma. To our knowledge, until now, there have been no reported cases of splenic venous hypertension due to ovarian carcinoma. This case report illustrates the successful emergency management of this condition by splenectomy, with complete resolution of varices confirmed endoscopically at 6 weeks. It is followed by a brief discussion regarding varices due to splenic venous hypertension.

Authors+Show Affiliations

Wallace W
Department of Surgery, Craigavon Area Hospital, Co. Armagh, Northern Ireland. williamdwallace@hotmail.com
Mulholland K
No affiliation info available
Epanomeritakis E
No affiliation info available

MeSH

AgedEsophageal and Gastric VaricesFemaleGastrointestinal HemorrhageHumansHypertension, PortalNeoplasm MetastasisNeoplasm Recurrence, LocalOvarian NeoplasmsPancreatectomySplenectomyTreatment Outcome

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

15707476

Citation

Wallace, W, et al. "Bleeding Gastric Varices--a Rare Complication of Ovarian Cancer." International Journal of Clinical Practice, vol. 59, no. 1, 2005, pp. 119-20.
Wallace W, Mulholland K, Epanomeritakis E. Bleeding gastric varices--a rare complication of ovarian cancer. Int J Clin Pract. 2005;59(1):119-20.
Wallace, W., Mulholland, K., & Epanomeritakis, E. (2005). Bleeding gastric varices--a rare complication of ovarian cancer. International Journal of Clinical Practice, 59(1), 119-20.
Wallace W, Mulholland K, Epanomeritakis E. Bleeding Gastric Varices--a Rare Complication of Ovarian Cancer. Int J Clin Pract. 2005;59(1):119-20. PubMed PMID: 15707476.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Bleeding gastric varices--a rare complication of ovarian cancer. AU - Wallace,W, AU - Mulholland,K, AU - Epanomeritakis,E, PY - 2005/2/15/pubmed PY - 2005/4/9/medline PY - 2005/2/15/entrez SP - 119 EP - 20 JF - International journal of clinical practice JO - Int J Clin Pract VL - 59 IS - 1 N2 - Splenic venous hypertension (or 'left-sided portal hypertension') is a rare underlying cause of gastro-oesophageal varices. Ovarian carcinoma recurring beyond 10 years, following primary treatment with no interval disease, is also a rare occurrence. We report an unusual case of bleeding gastric varices secondary to splenic venous obstruction as a result of metastatic ovarian carcinoma. This occurred 21 years following surgery and adjuvant chemotherapy for primary ovarian carcinoma. To our knowledge, until now, there have been no reported cases of splenic venous hypertension due to ovarian carcinoma. This case report illustrates the successful emergency management of this condition by splenectomy, with complete resolution of varices confirmed endoscopically at 6 weeks. It is followed by a brief discussion regarding varices due to splenic venous hypertension. SN - 1368-5031 UR - https://www.unboundmedicine.com/medline/citation/15707476/Bleeding_gastric_varices__a_rare_complication_of_ovarian_cancer_ DB - PRIME DP - Unbound Medicine ER -